What action should an older adult take to improve safety and prevent increased intracranial pressure?
Monitor blood glucose levels several times a day.
Take all medications at the same time every day.
Discontinue blood thinning medications.
Use an assistive device if experiencing problems with balance.
The Correct Answer is D
A. Monitor blood glucose levels several times a day: Frequent glucose monitoring is important for managing diabetes but does not directly prevent increased intracranial pressure (ICP) or related complications in older adults. It addresses metabolic control rather than neurologic safety.
B. Take all medications at the same time every day: Consistent medication timing promotes adherence and therapeutic effectiveness, but it does not specifically reduce the risk of falls or activities that could lead to increased ICP.
C. Discontinue blood thinning medications: Stopping anticoagulants without medical guidance can be dangerous and increase the risk of thrombosis. Discontinuation should never be done independently and does not inherently prevent increased ICP.
D. Use an assistive device if experiencing problems with balance: Using canes, walkers, or other mobility aids helps prevent falls and head trauma, which are common triggers for increased intracranial pressure in older adults. Preventing falls directly reduces the risk of intracranial injury and secondary complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Rapid breathing:Tachypnea is a respiratory manifestation that can occur with hypoxia or heart failure, but it is not a primary neurologic sign. Neurologic changes result from cerebral perfusion deficits rather than respiratory rate changes.
B. Dyspnea:Shortness of breath reflects cardiopulmonary compromise and decreased oxygen delivery, but it is not a neurologic manifestation. It indicates the cardiovascular system is affected rather than the nervous system directly.
C. Dizziness:Dizziness is a neurologic manifestation caused by reduced cerebral perfusion due to cardiac dysrhythmias. When the heart beats irregularly or inefficiently, blood flow to the brain may decrease, leading to lightheadedness, syncope, or imbalance.
D. Chest pain:Chest pain is a cardiovascular symptom associated with myocardial ischemia or strain but does not reflect neurologic dysfunction. It indicates cardiac tissue distress rather than cerebral involvement.
Correct Answer is D
Explanation
A. Tonic stage:The tonic stage occurs during the seizure itself and is characterized by sudden muscle stiffening and loss of consciousness. Vague pre-seizure symptoms such as nausea or irritability do not occur during this stage because it represents active seizure activity.
B. Aural stage:The aural stage refers to the sensory warning immediately preceding a seizure, often involving visual, auditory, or olfactory changes. These manifestations are brief and occur minutes before the seizure, not hours prior, and are more specific than vague symptoms like irritability.
C. Postictal stage:The postictal stage follows the seizure and involves confusion, fatigue, and sometimes headache. Nausea and irritability occurring hours before the seizure do not belong to this stage, which reflects recovery rather than a warning phase.
D. Prodromal stage:The prodromal stage occurs hours to days before the seizure onset and is characterized by nonspecific, vague manifestations such as irritability, malaise, or nausea. These early warning signs help identify impending seizure activity and differ from the more immediate aura or the seizure itself.
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